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Colville Health and Rehabilitation of Cascadia

Nursing Home Facility

1000 East Elep Street, Colville, WA 99114

Nursing Home Care Senior Living
Colville Health and Rehabilitation of Cascadia

Colville Health and Rehabilitation of Cascadia is a senior care community located in Colville, WA. It provides nursing home care and senior living for older adults in the Colville area. To learn more or schedule a tour, call (509) 684-2573.

Operated by Cascadia Healthcare, which runs 24 communities in our directory.

Employer rating 3.5 out of 5 72 reviews from their own employees on Indeed. See what they say.

With 92 beds, Colville Health and Rehabilitation of Cascadia is one of the larger communities in the area, senior care communities in Colville average about 32 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 63% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Colville average of roughly 76%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Colville average about 2.5 stars. Its most recent standard health inspection was in May 2025 and recorded 32 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Communities in Colville average about 3.9 hours. Nursing staff turnover over the past year was about 67%, which is high and can affect continuity of care.

The community is located in Stevens County, WA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 55 problems at Colville Health and Rehabilitation of Cascadia. 6 findings involved harm to a resident, including 2 that put residents in immediate danger. 37 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $68,351.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, widespread Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Put residents in immediate danger, a pattern Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Caused harm to a resident, a pattern Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Caused harm to a resident, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected July 2026, after a complaint. Corrected by July 29, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected April 2026, after a complaint. Corrected by May 5, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, widespread Administration

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

Show 24 more
  • Could cause more than minimal harm, widespread Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, widespread Administration

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, widespread Administration

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, widespread Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, widespread Administration

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Inspected May 2025. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected May 2025. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Inspected May 2025. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Provide training in compliance and ethics.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care or services that was trauma informed and/or culturally competent.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Inspected May 2025, after a complaint. Corrected by June 30, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Colville Health and Rehabilitation of Cascadia offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 92
  • Occupancy 63%
  • Nursing hours per resident/day 3.4
  • Annual staff turnover 67%
  • Last health inspection May 2025

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